Urology
Imaging and Management of Incidental Renal Lesions
7 Jul, 2017 | 13:44h | UTCReview: Imaging and Management of Incidental Renal Lesions – BioMed Research International (free)
Medical Treatment of Nocturia in Men with Lower Urinary Tract Symptoms
3 Jul, 2017 | 17:26h | UTC
The ABCs and Ds of Whether to Get Prostate Cancer Screening
28 Jun, 2017 | 22:43h | UTCThe ABCs and Ds of Whether to Get Prostate Cancer Screening – The New York Times (10 articles per month are free)
See also the new USPSTF guidelines on prostate cancer screening and related commentaries in our April 12 issue (see #1) and in our April 13 issue (see #4)
Balanced point of view regarding prostate cancer screening.
A Meta-analysis of the Impact of Aspirin, Clopidogrel, and Dual Antiplatelet Therapy on Bleeding Complications in Noncardiac Surgery
26 Jun, 2017 | 17:32h | UTCA Meta-analysis of the Impact of Aspirin, Clopidogrel, and Dual Antiplatelet Therapy on Bleeding Complications in Noncardiac Surgery – Annals of Surgery (link to abstract – $ for full-text)
Source: EvidenceAlerts (free resource to find articles of interest)
“Antiplatelet therapy at the time of noncardiac surgery confers minimal bleeding risk with no difference in thrombotic complications. In many cases, it is safe to continue antiplatelet therapy in patients with important indications for their use”
AUA White Paper on Nonneurogenic Chronic Urinary Retention
21 Jun, 2017 | 22:26h | UTCCommentary: AUA Reports on Nonneurogenic Chronic Urinary Retention – Physician’s Briefing (free)
Antiplatelet Therapy in Patients With Coronary Stents Undergoing Elective Noncardiac Surgery
20 Jun, 2017 | 18:23h | UTCPSA Test for Prostate Cancer
19 Jun, 2017 | 12:50h | UTCOpinion: Why I Won’t Get a PSA Test for Prostate Cancer – Scientific American (free)
New Developments and Challenges in Rare Genitourinary Tumors: Non-Urothelial Bladder Cancers and Squamous Cell Cancers of the Penis
16 Jun, 2017 | 01:28h | UTC
Kidney Cancer – NCCN Clinical Practice Guidelines
13 Jun, 2017 | 20:02h | UTCKidney Cancer, Version 2.2017, NCCN Clinical Practice Guidelines in Oncology (free)
Drugs may help people pass larger kidney stones
13 Jun, 2017 | 20:00h | UTCDrugs may help people pass larger kidney stones – NIHR Signal (free)
Original article: Alpha blockers for treatment of ureteric stones: systematic review and meta-analysis – The BMJ (free)
Related meta-analysis: Effect of Tamsulosin on Stone Passage for Ureteral Stones: A Systematic Review and Meta-analysis – Annals of Emergency Medicine (free)
Practice Guidelines for Preoperative Fasting
9 Jun, 2017 | 16:03h | UTCPractice Guidelines for Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration – Anesthesiology, via Medscape (free registration required)
Short-term catheterisation: considerations for best practice
8 Jun, 2017 | 15:42h | UTC
#ASCO2017 – Abiraterone for Prostate Cancer
5 Jun, 2017 | 14:51h | UTC#ASCO2017 – Abiraterone for Prostate Cancer
Abiraterone plus Prednisone in Metastatic, Castration-Sensitive Prostate Cancer – New England Journal of Medicine (free) AND Abiraterone for Prostate Cancer Not Previously Treated with Hormone Therapy – New England Journal of Medicine (free)
ASCO News Releases: Abiraterone Delays Metastatic Prostate Cancer Growth by 18 Months, Extends Survival (free) Abiraterone Slows Advanced Prostate Cancer, Helps Patients Live Longer (free)
American Urological Assn. Adds 5 More Unnecessary Practices to Choosing Wisely
23 May, 2017 | 14:24h | UTCSee also: Complete American Urological Association list with 15 Things Physicians and Patients Should Question – Choosing Wisely (free)
Clinically Localized Prostate Cancer: AUA/ASTRO/SUO Guideline
11 May, 2017 | 18:35h | UTCClinically Localized Prostate Cancer: AUA/ASTRO/SUO Guideline (free)
Source: Urologic Groups Offer New Prostate Cancer Management Guideline – Physician’s First Watch (free)
Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017
5 May, 2017 | 20:29h | UTCCenters for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017 – JAMA Surgery (free) (RT @jankluytmans and @CIDRAP_ASP see Tweet)
Invited commentary: Surgical Site Infection Prevention – What We Know and What We Do Not Know – JAMA Surgery (free)
Commentary: ‘Long-Awaited’ CDC Guidelines on SSI Prevention Released – Medscape (free registration required)
Related: Global guidelines on the prevention of surgical site infection 2016 – World Health Organization (free)
Trial of Transplantation of HCV-Infected Kidneys into Uninfected Recipients
5 May, 2017 | 20:19h | UTCCorrespondence: Trial of Transplantation of HCV-Infected Kidneys into Uninfected Recipients – The New England Journal of Medicine (free)
Transplantation of HCV-infected-kidneys into uninfected recipients seems feasible in this era of direct-acting antiviral agents, maybe shortening waiting times for those willing to take the risk.
Urinary catheter care: what does the evidence say?
4 May, 2017 | 20:12h | UTCUrinary catheter care: what does the evidence say? – Cochrane Library (free)
“How frequently should indwelling urinary catheters be changed? Are catheter washouts effective? Which type of catheter reduces rates of urinary tract infection?”. This post look at the evidence regarding urinary catheter care.
ASCO Guideline on Castrate-Resistant Prostate Cancer
3 May, 2017 | 17:23h | UTCSource: ASCO Issues Guideline on Castrate-Resistant Prostate Cancer – Medscape (free registration required)
Approaches for Evaluation of Asymptomatic Microscopic Hematuria
20 Apr, 2017 | 14:27h | UTCInvited commentary: Asymptomatic Microscopic Hematuria – Rethinking the Diagnostic Algorithm (free)
Routine urinalysis for screening is not presently recommended by any major health organization, but asymptomatic microscopic hematuria is a common incidental finding. This study suggests that the combination of renal ultrasound and cystoscopy is the most cost-effective approach for the evaluation of these patients.
Mortality Trends After Surgical Safety Checklist
20 Apr, 2017 | 14:31h | UTCMortality Trends After a Voluntary Checklist-based Surgical Safety Collaborative – Annals of Surgery (link to abstract – free PDF available)
Sources: Global Health NOW Newsletter (free) AND South Carolina Hospitals Saw Surgery Deaths Drop After Implementing WHO Checklist – AJMC News (free) AND A simple checklist prevents deaths after surgery, a large new study suggests – The Washington Post (a few articles per month are free)
See also: WHO Surgical Safety Checklist – World Health Organization (free) AND A Surgical Safety Checklist to Reduce Morbidity and Mortality in a Global Population – New England Journal of Medicine (free)
European Association of Urology releases its 1st thromboprophylaxis guideline
14 Apr, 2017 | 16:10h | UTCEuropean Association of Urology releases its 1st thromboprophylaxis guideline (free)
“Extended thromboprophylaxis is warranted in some procedures (eg, open and robotic cystectomy) but not others (eg, robotic prostatectomy without pelvic lymph node dissection in low-risk patients)”
“Extended prophylaxis is warranted for some procedures (eg, kidney transplantation procedures in high-risk patients) but not others (transurethral resection of the prostate and reconstructive female pelvic surgery in low-risk patients)”
Prostate Cancer Screening – Conflicting views on the new USPSTF draft recommendations
13 Apr, 2017 | 16:06h | UTCProstate Cancer Screening – Conflicting views on the new USPSTF draft recommendations
In favor of screening: New Official Prostate Cancer Screening Guidelines Announced: Too Little, Too Late? – Forbes (free) AND Federal Task Force Softens Opposition To Routine Prostate Cancer Screening – NPR
Against screening: The new recommendations for prostate cancer screenings are a bad deal – STAT News (free)
See also: Original USPSTF draft recommendations and related commentaries in yesterday’s issue
Prostate Cancer Screening Draft Recommendations – USPSTF
12 Apr, 2017 | 15:58h | UTCProstate Cancer Screening Draft Recommendations – U.S. Preventive Services Task Force (free)
Viewpoint: The US Preventive Services Task Force 2017 Draft Recommendation Statement on Screening for Prostate Cancer: An Invitation to Review and Comment – JAMA (free)
See also: Should you get screened for prostate cancer? We break down the latest advice – STAT News (free)
For those aged 55 to 69 it recommends “informed, individualized decision making based on a man’s values and preferences”. According to a useful infographic from the draft recommendations, the benefits are likely small. For every 1000 men offered PSA based screening over a period of 10-15 years, the test would avoid cancer spreading in 3 men and death from prostate cancer in 1-2 men, with the undesired consequences of false positives and subsequent procedures in many patients.
Management of cystic renal lesions
5 Apr, 2017 | 21:51h | UTCCUA guideline on the management of cystic renal lesions – Canadian Urological Association Journal (free)